192746 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 00350980 Page 1 of 1
ONE CIVIC SQUARE VERIZON WIRELESS
CARMEL, INDIANA 46032 P. 0. Box 25505 CHECK AMOUNT: $2,757.52
LEHIGH VALLEY PA 18002 -5505
CHECK NUMBER: 192746
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NU MBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4344100 2492559044 34.53 485296750 -00001
1160 4344100 2493087997 421.09 580874429 -00001
209 4344100 2495245933 192.94 380784826 -00001
1115 4344100 2495251273 686.26 680779358 -00001
1192 4344100 2495252997 1,057.42 780779357 -00001
1401 4344100 2496795529 365.28 480888597 -00001
V,�-''veriZo 1 wireless
777 BIG TIMBER ROAD Manage Your Account &View Your Usage Details Account Number 1 Date Due
ELGIN, IL 60123
Invoice Number 1 2495251273
Quick Bill Summary Oct 29 Nov 28
30000094 06 SP 1.730 "SNGLP T2 1 4728 46032- 171531 1 E MICH2810
I ll a 1�1�1111��1 a ll���1111111�1 a 1II��IIII�I�I�II�111III n i��
CITY OF CARMEL IN Previous Balance (see back for details) $2,139.35
CARMEL CLAY COMMUNICATIONS
31 1 STAVE NW Payment —Thank You $1,397.03
JANET ARNONE Balance Forward Due Immediately $742.32
CARMEL, IN 46032 -1715
Monthly Access Charges $662.55
Usage Charges
Voice $.00
Messaging $.25
Data $.00
Verizon Wireless' Surcharges
and Other Charges Credits $23.46
Taxes, Governmental Surcharges Fees $.00
Total Current Charges Due by December 23, 2010 $686.26
Total Amount Due $1,428.58
Pay from wireless Pay on the Web Questions:
#PMT (#768) At vzvv.corn/r*usinessaccount 1.800.922.0204 *611 from your wireless
\.,�verizo0P1, wireless
Invoice Number Account Number Date Due Page
Get Minutes Used Get Data Used Get Balance
1 1A 1 #BAL 1
Explanation of Charges Payments
Verizon Wireless' Surcharges Previous Balance $2 ,139.35
Verizon Wireless' Surcharges include charges to recover or help
defray costs of taxes and of governmental charges and fees Payment Thank You
imposed on us, including a Regulatory Charge (which helps defray P ayment Received 11/01/10 1,397.03
costs of various regulatory mandates, including government
number administration and license fees) and a Federal Universal Total Payments $1,397.03
Service Charge (and, it applicable, a State Universal Service Balance Forward Due Immediately $742.32
Charge) to recover costs imposed on us by the government to
support universal service, and may include other charges also
related to our governmental costs. It also includes an
Administrative Charge, which helps defray certain costs we incur,
currently including (i) charges we, or our agents, pay local
telephone companies for delivering calls from our customers to
their customers, (ii) fees and assessments on network facilities
and services, and (iii) certain costs and charges associated with
proceedings related to new cell site construction. Please note
that these are Verizon Wireless charges, not taxes. These
charges, and what's included, are subject to change from time to
time.
Taxes, Governmental Surcharges and Fees
Includes sales, excise and other taxes and governmental
surcharges and fees that we are required by law to bill
customers. These taxes, surcharges and fees may change from
time to time without notice.
Late Fee Information
A late payment applies for unpaid balances. The charge is the
greater of $5 or 1.5% per month, or as permitted by law.
Verizon Wireless' Other Charges and Credits
Includes charges for products and services, and credits owing.
"G'f &`:s vk'�`� �-�f �yz. �..�5;� ^j,'��.t��"„tf ,�,',�t F .:..,t 3' ``W'"'�v#'�??. r�'„xa�r� t.:
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�oeresporr�dence Kdtiress ,Verizon Wireless 0pera�toits,Su�por3 8�xa�8� �3�:p,y
Prescribed by Stale Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/28/10 I 2495251273 I $686.26
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Verizon Wireless
IN SUM OF
P.O. Box 25505
Lehigh Valley, PA 18002 -5506
$686.26
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. I ACCT #ITITLE AMOUNT
Board Members
1115 I 2495251273 I 43- 441.00 I $686.26 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, December 09, 2010
Dire ctor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
V,- mnMrelew
777 BIG TIMBER ROAD Manage Your Account &View Your Usage Details Account Number Date Due
ELGIN, IL 60123
Invoice Number 1 2495252997
Quick Bill Summary Oct 29 Nov 28
40000058 06 SP 1.730 "SNGLP T2 2 4728 46032- 258401 1 E MICH2810
CITY OF CARMEL Previous Balance (see back for details) $2,191.20
DOGS Payment Thank You $1,003.07
1 CIVIC SQ
CARMEL, IN 46032 -2584 Balance Forward Due Immediately $1,188.13
Monthly Access Charges $1,019.78
Usage Charges
Voice $.00
Messaging $4.26
Data $.00
Verizon Wireless' Surcharges
and Other Charges Credits $33.38
Taxes, Governmental Surcharges Fees $:00
Total Current Charges Due by December 23, 2010 $1,057.42
Total Amount Due
4 F ��FO
o OC
Pay from Wireless Pay on the web Questions:
1 or *611 f rom your wireless
1 /verizo wireless
Invoice Number Account Number Date Due Page
w� 2495252997 780779357 00001 PastDue 2 of�47
r,
Get Minutes Used Get Data Used Get Balance
SEND #BAL+ SEND
Explanation of Charges Payments
Verizon Wireless' Surcharges Previous Balance $2,191.20
Verizon Wireless' Surcharges include charges to recover or help
defray costs of taxes and of governmental charges and fees Payment Thank You
imposed on us, including a Regulatory Charge (which helps defray P ayment Received 11/01/10 1,003.07
costs of various regulatory mandates, including government
number administration and license fees) and a Federal Universal Total Payments $1,003.07
Service Charge (and, it applicable, a State Universal Service Balance Forward Due Immediately $1 188.13
Charge) to recover costs imposed on us by the government to
support universal service, and may include other charges also
related to our governmental costs. It also includes an
Administrative Charge, which helps defray certain costs we incur,
currently including (i) charges we, or our agents, pay local
telephone companies for delivering calls from our customers to
their customers, (ii) fees and assessments on network facilities
and services, and (iii) certain costs and charges associated with
proceedings related to new cell site construction. Please note
that these are Verizon Wireless charges, not taxes. These
charges, and what's included, are subject to change from time to
time.
Taxes, Governmental Surcharges and Fees
Includes sales, excise and other taxes and governmental
surcharges and fees that we are required by law to bill
customers. These taxes, surcharges and fees may change from
time to time without notice.
Late Fee Information
A late payment applies for unpaid balances. The charge is the
greater of $5 or 1.5% per month, or as permitted by law.
Verizon Wireless' Other Charges and Credits
Includes charges for products and services, and credits owing.
Corres ondence Address: Verizon Wireless 0 erattons Su ort P 0 Box 9058 DubIi 0 43017 'i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Verizon
IN SUM OF
P.O. Box 25505
Leigh Valley, PA 18002 -5505
$1,057.42
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 2495252997 43- 441.00 $1,057.42 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, Decgmber 13, 2010
r
Director, DO
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/10/10 2495252997 Monthly charges $1,057.42
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VEYi Mpwireless
777 BIG TIMBER ROAD Manage Your Account View Your Usage Details Account Number Date Due
ELGIN, IL 60123 485296750-00001
Invoice Number 12492559044
w
10000139 01 AV 0.335 "AUTO T1 3 4722 46032 258402 1 E MICH2210 Quick Bill Summary Oct 23 Nov 22
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 'lllllllllll llllllllllllllll
CARMEL FIRE DEPARTMENT
2 CIVIC SQ Previous Balance (see back for details) $91.61
CARMEL, IN 46032 -2584 Pa Thank You $91.61
Balance Forward $.00
Monthly Access Charges $32.39
Usage Charges
Voice $.00
Messaging $58
Verizon Wireless' Surcharges
and Other Charges Credits $1.56
Taxes, Governmental Surcharges Fees $.00
Total Current Charges $34.53
Total Charges Due by December 17, 2010 $34.53
Pay from Wireless Pay on the Web Questions:
1.800.922.0204 or '611 from your wireless
\,--�ved nw ireless
Invoice Number Account Number Date Due Page
Get Minutes Used Get Data Used Get Balance
sA
Explanation of Charges Payments
Verizon Wireless' Surcharges Previous Balance $91.61
Verzon Wireless' Surcharges include charges to recover or help
defray costs of taxes and of governmental charges and fees Payments Thank You
imposed on us, including a Regulatory Charge (which helps defray Pay Received 11/01/10 —57.51
costs of various regulatory mandates, including government
number administration and license fees) and a Federal Universal Payment Received 11/16/10 —34.10
Service Charge (and, it applicable, a State Universal Service Total Payments $91.61
Charge) to recover costs imposed on us by the government to
support universal service, and may include other charges also Balance Forward
related to our governmental costs. 11 also includes an
Administrative Charge, which helps defray certain costs we incur,
currently including (i) charges we, or our agents, pay local
telephone companies for delivering calls from our customers to
their customers, (ii) fees and assessments on network facilities
and services, and (iii) certain costs and charges associated with
proceedings related to new cell site construction. Please note
that these are Verizon Wireless charges, not taxes. These
charges, and what's included, are subject to change from time to
time.
Taxes, Governmental Surcharges and Fees
Includes sales, excise and other taxes and governmental
surcharges and fees that we are required by law to bill
customers. These taxes, surcharges and fees may change from
time to time without notice.
Late Fee Information
A fate payment applies for unpaid balances. The charge is the
greater of S5 or 1.5% per month, or as permitted by law.
Verizon Wireless' Other Charges and Credits
Includes charges for products and services, and credits owing.
t;'u$ ,ry g am'"
o podenc Address: Operations Support P 0 Box 9058DubinOH43017 a
L 'c
VOUCHER NO. WARRANT NO.
ALLOWED 20
Verizon Wireless C
IN SUM OF
P.O. Box 25505
Lehigh Valley, PA 18002
$34.53
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1120 2492559044 43- 441.00 $34.53 1 hereby certify that the attached invoice(s) or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
DEC 1 3 n
6
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2492559044 $34.53
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
�V wireless
777 r
777 BIG TIMBER ROAD Manage Your Account View Your Usage Details Account Number l Date Due
ELGIN, IL 60123 3 807 848 0000 1
Invoice Number 1 2495245933
1 20000275 02 AT 0.482 "AUTO T3 0 4728 480 258401 1 r MICH2810 Quick Bill Summaiy Oct 29 Nov 28
11 l 11 l 1 11 11 11 11111 11 III I I I II 11 l 1 l 1 l 1 l II l ll lilll 111E111 kill
CITY OF CARMEL IN
CARMEL LEGAL DEPT Previous Balance (see back for details) $365.67
1 CIVIC SQ Payment Thank You $173.41
CARMEL, IN 46032 -2584
Balance Forward Due Immediately $192.26
Monthly Access Charges $186.96
Usage Charges
Voice $.00
Messaging $15
Data $.00
Verizon Wireless' Surcharges
and Other Charges Credits $5.23
Taxes, Governmental Surcharges &Fees $.00
Total Current Charges Due by December 23, 2010 $192.94
Total Amount Due $385.20
Pay from Wireless Pay on the Web I Questions:
o 1 800 .922.0204 or *611 f rom your wireless
�V(0J z_0nwlreless
Invoice Number Account Number Date Due Page
,R� b F 2495245933 A a�38Q784826 OOOU1Past�Due ��2 of�1�4
Get Minutes Used Get Data Used Get Balance
Ogg Amoffla p M O NO
Explanation of Charges Payments
Verizon Wireless' Surcharges Previous Balance $365 .67
Verizon Wireless' Surcharges include charges to recover or help
defray costs of taxes and of governmental charges and fees Payment Thank You
imposed on us, including a Regulatory Charge (which helps defray pay Received 11101!10 173.41
costs of various regulatory mandates, including government
number administration and license fees) and a Federal Universal Total Payments $173.41
Service Charge (and, if applicable, a State Universal Service Balance Forward Due Immediate) 192.26
Charge) to recover costs imposed on us by the government 10 y
support universal service, and may include other charges also
related to our governmental costs. It also includes an
Administrative Charge, which helps defray certain costs we _incur,
currently including (i) charges we, or our agents, pay local
telephone companies for delivering calls from our customers to
their customers, (ii) fees and assessments on network facilities
and services, and (iii) certain costs and charges associated with
proceedings related to new cell site construction. Please note
that these are Verizon Wireless charges, not taxes. These
charges, and what's included, are subject to change from time to
lime.
Taxes, Governmental Surcharges and Fees
Includes sales, excise and other taxes and governmental
surcharges and fees that we are required by law to bill
customers. These taxes, surcharges and fees may change from
time to time without notice.
Late Fee Information
A late payment applies for unpaid balances. The charge is the
greater of $5 or 1.5% per month, or as permitted by law.
Verizon Wireless' other Charges and Credits
Includes charges for products and services, and credits owing.
"Cowes oodence� ddress: Verrzo��Wlreless�0�eratrnns Su ort,P.Ci. -Box 9058Dublrn,OF1- 4301,7 �.n
Prescribed by State Board of Accounts City Form No. 261 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
VERIZON WIRELESS
Purchase Order No.
P. O. Box 25505
Terms
Lehigh Valley, PA 18002 -5505
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12 -9 -14 2495245933 Cellular phone fees per the attached invoice $192.94
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Verizon Wireless IN SUM OF
P. O. Box 2550
Lehigh Valley, PA 18002 -5505
$192.94
ON ACCOUNT OF APPROPRIATION FOR
DEFERRAL FEE FUND 209
430 -44100 Cellular Phone Fees
Board Members
p 'S INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
209 2495245933 $192.94 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
kgu 9 20/0
Signatur
Cost distribution ledger classification if T
ye
claim paid motor vehicle highway fund
f verizoAwireless
777 BIG TIMBER ROAD Manage Your Account &View Your Usage Details Account Number Date Due
ELGIN, IL 60123
0 0 0 :0: fill 9
Invoice Number 1 2493087997
20001564 03 AB 0.610 "AUTO T2 0 4723 46032- 258401 1 EMICH2310 Quick Bill Summary Oct 24 —Nov 23
CITY OF CARMEL IN
JENNY CHASTAIN Previous Balance (see back for details) $922.66
CIVIC SQ
CARMEL, IN 46032 -2584 Payment Thank You $449.23
Balance Forward Due Immediately $473.43
Monthly Access Charges $427.87
Usage Charges
Voice $5.00
Messaging $14.25
Data $1.99
Verizon Wireless' Surcharges
and Other Charges Credits $8.62
Taxes, Governmental Surcharges Fees $.00
Total Current Charges Due by December 18, 2010 $457.73
Total Amount Due $931.16
Pay from Wireless Pay on the Web Questions:
rn/mv bu sines saccoun t 1.800.922:0204,or
ver►ynwireless
Invoice Number Account Number Date Due Page
Get Minutes Used Get Data Used Get Balance
ME *me MOM
Explanation of Charges Payments
Verizon Wireless' Surcharges Previous Balance $922.66
Verizon Wireless' Surcharges include charges to recover or help
defray costs of taxes and of governmental charges and fees Payment Thank You
imposed on us, including a Regulatory Charge (which helps defray P ayment Received 11/16/10 449.23
costs of various regulatory mandates, including government
number administration and license fees) and a Federal Universal Total Payments $449.23
Service Charge (and, if applicable, a State Universal Service Balance Forward Due Immediately $473.43
Charge) to recover costs imposed on us by the government to
support universal service, and may include other charges also
related to our governmental costs. It also includes an
Administrative Charge, which helps defray certain costs we incur,
currently including (i) charges we, or our agents, pay local
telephone companies for delivering calls from our customers to
their customers, (ii) tees and assessments on network facilities
and services, and (iii) certain costs and charges associated with
proceedings related to new cell site construction. Please note
that these are Verizon Wireless charges, not taxes. These
charges, and what's included, are subject to change from time to
time.
Taxes, Governmental Surcharges and Fees
Includes sales, excise and other taxes and governmental
surcharges and fees that we are required by law to bill
customers. These taxes, surcharges and fees may change from
time to time without notice.
Late Fee Information
A late payment applies for unpaid balances. The charge is the
greater of $5 or 1.5% per month, or as permitted by law.
Verizon Wireless' Other Charges and Credits
Includes charges for products and services, and credits owing.
a" cr a
r Cor.res ondence'Aiidress Venzon Wtretess 0 eratrons Su ort''f �Q "Box 9058 Dublin OH 43017
11
VOUC N O. WARRANT NO.
ALLOWED 20
Verizon Wireless
IN SUM OF
P. O. Box 25505
Lehigh Valley, PA 18002 -5505
$421.09
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1160 2493087997 43- 441.00 $421.09 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, December 10, 2010
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/23/10 2493087997 $421.09
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
`�VePiZoRlwireiess
777 BIG TIMBER ROAD Manage Your Account &View Your Usage Details Account Number 1 Date Due
ELGIN, IL 60123 At vzw 480888597-0000
Invoice Number 12496795529
20000063 03 AT 0.607 "AUTO T1 0 4803 46032 258401 1 E MICH0310 Quick Bill Summary Nov 04 Dec 03
CITY OF CARMEL CITY COUNC
1 CIVIC SQ Previous Balance (see back for details) $364.50
CARMEL, IN 46032 -2584 Payment Thank You $364.50
Balance Forward $.00
Monthly Access Charges $353.83
Usage Charges
Voice $.00
Messaging $3.97
Data $.00
Verizon Wireless' Surcharges
and Other Charges Credits $7.48
Taxes, Governmental Surcharges Fees $.00
Total Current Charges $365.28
Total Charges Due by December 29, 2010 $365.28
Pay from Wireless Pay on the web Questions:
#PMT (#768) At vzW.com/m,ybbsinessaccount 1 or *611 f rom,your wireless
\-Ver6
Invoice Number Account Number Date Due Page
y a Lae r a. g'm— +—rrr3„ a' a as S ,4. y U'� r, -.,�i k t v y $v
Get Minutes Used TGet Data Used Get Balance
Explanation of Charges Payments
Verizon Wireless' Surcharges Previous Balance $364.50
Verizon Wireless' Surcharges include charges to recover or help
defray costs of taxes and of governmental charges and fees Payment Thank You
imposed on us, including a Regulatory Charge (which helps defray P ayment Received 11129/10 364.50
costs of various regulatory mandates, including government
number administration and license fees) and a Federal Universal Total Payments $364.50
Service Charge (and, if applicable, a State Universal Service Balance Forward
Charge) to recover costs imposed on us by the government to
support universal service, and may include other charges also
related to our governmental costs. It also includes an
Administrative Charge, which helps defray certain costs we incur,
currently including (i) charges we, or our agents, pay local
telephone companies for delivering calls from our customers to
their customers, (ii) fees and assessments on network facilities
and services, and (iii) certain costs and charges associated with
proceedings related to new cell site construction. Please note
that these are Verizon Wireless charges, not taxes. These
charges, and what's included, are subject to change from time to
time.
Taxes, Governmental Surcharges and Fees
Includes sales, excise and other taxes and governmental
surcharges and fees that we are required by law to bill
customers. These taxes, surcharges and fees may change from
time to time without notice.
Late Fee Information
A late payment applies for unpaid balances. The charge is the
greater of $5 or 1.5% per month, or as permitted by law.
Verizon Wireless' Other Charges and Credits
includes charges for products and services, and credits owing.
h NE Correspondence Address: Verizo`"n Wrreless:Qpe atronsrFS pu po t'P 0 8ox,,9058 D bl r O 0 7
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units,' price per unit, etc.
I Payee c
Purchase Order No.
Terms
Date Due [I
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
g�D�lrl1) l�'� Vy��' -U! S� IN SUM OF
To 8c) T Zq)6
ON ACCOUNT OF APPROPRIATION FOR
c _v Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signaturr7
Cost distribution ledger classification if Title t t
claim paid motor vehicle highway fund